arthritis

Understanding Arthritis: Causes and Treatments

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Did you know that 1 in 5 adults in the United States has arthritis1? This condition, marked by joint inflammation, is a common health issue2. It ranges from the pain of osteoarthritis to the severe flare-ups of rheumatoid arthritis. This disease can greatly affect someone’s life quality3.

Arthritis is complex, with over 100 types. Each has its own causes, symptoms, and treatments. Knowing the different types and what causes them is key to managing and finding relief3.

Key Takeaways

  • Arthritis affects 1 in 5 adults in the United States.
  • There are over 100 types of arthritis, with osteoarthritis and rheumatoid arthritis being the most common.
  • Arthritis causes pain, swelling, stiffness, and limited joint movement, making daily activities hard.
  • Factors like age, gender, genetics, joint injuries, and obesity raise the risk of certain arthritis types.
  • Managing arthritis often means using medication, therapy, and changing your lifestyle.

What is Arthritis?

Arthritis is a term for many conditions that cause pain and inflammation in the joints4. Joints have a special covering called cartilage that helps them move smoothly. Around the joint, there’s a lining that makes a fluid to keep the joint working well. The joint is also held together by strong tissues and muscles4.

Types of Arthritis

There are several types of arthritis, like osteoarthritis, rheumatoid arthritis, and gout54. Osteoarthritis is the most common, affecting joints in the hands, spine, hips, and knees4. Inflammatory arthritis happens when the immune system attacks healthy tissue, affecting joints in the spine, hands, and feet4. Rheumatoid arthritis is a type of inflammatory arthritis4.

Gout is caused by uric acid crystals in the joints and can be triggered by many things, not just high uric acid levels4. Things like viruses, stress, and smoking can start inflammatory arthritis in people who are more likely to get it4. An imbalance in the gut bacteria can also lead to autoimmune diseases4. Finding and treating arthritis early can help prevent damage and improve life quality4. For some types of arthritis, antibiotics are used to fight the infection causing the inflammation4.

Arthritis covers many conditions, including arthrosis, which is another name for osteoarthritis5. Arthrosis is caused by wear and tear, often from aging or being very active, affecting joints like knees, hips, hands, and neck5. Signs of arthrosis include pain, stiffness, less flexibility, and swelling5.

Type of Arthritis Characteristics
Osteoarthritis (OA)
  • Affects 32.5 million adults in the US6
  • Genetic component in 40-70% of cases, higher in women after age 506
  • Risk factors include job demands, prior injury, poor posture, overweight, and menopause6
  • Treatments aim to alleviate pain and improve function, including medications, home remedies, and surgery6
Rheumatoid Arthritis (RA)
  • Most common form of autoimmune inflammatory arthritis4
  • Involves overactive immune system attacking healthy tissue in joints4
  • Can affect joints in the spine, hands, and feet4
  • Early diagnosis and treatment are critical to prevent joint damage4
Gout
  • Metabolic arthritis caused by buildup of uric acid crystals in joints4
  • Can be triggered by factors beyond just uric acid levels, such as microbiome imbalances4
  • Treated with medications to clear the infection and reduce inflammation4

“Arthritis is an umbrella term encompassing various types of the condition, including arthrosis, which is another name for osteoarthritis.”5

Causes and Risk Factors

Many types of arthritis are not fully understood, but researchers are looking into genetic and lifestyle factors. These factors can increase the chance of getting arthritis7.

Age is a big risk factor, with osteoarthritis risk going up between 40 and 507. But arthritis can happen at any age, even in kids7. Sex also matters, with most arthritis types hitting women harder, except for gout, which affects men more8.

Being overweight puts extra stress on joints and can lead to osteoarthritis7. Injuries, infections, and jobs that involve repetitive movements or heavy lifting can also cause arthritis7.

Genetics are key in making some people more likely to get certain arthritis types. About 40% of those with psoriasis or psoriatic arthritis have family members with it, showing a strong genetic link7. Certain genes, like HLA-B27 and HLA-DR4, raise the risk of rheumatoid arthritis7. Genetic issues can also affect how the body handles uric acid, leading to gout7.

The heritability of osteoarthritis depends on the joint affected, with some showing more genetic influence than others7. Lifestyle choices, like being overweight, smoking, and diet, can also affect arthritis risk and progression98.

Arthritis has many causes, from genetics to lifestyle. Knowing these factors can help people prevent or manage their arthritis, improving their quality of life798.

“Arthritis is a complex condition with many potential causes and risk factors. By understanding the underlying mechanisms, we can develop more effective prevention and treatment strategies.”

Symptoms of Arthritis

Arthritis is a complex condition that affects joints10. It’s the most common type of arthritis, affecting about 8.75 million people in the UK10. This arthritis usually only affects one joint11.

But, other types like rheumatoid arthritis (RA) can cause symptoms beyond the joints12. RA often starts in people aged 40 to 60, and it’s more common in women than men10. Early signs include joint pain, swelling, stiffness, fatigue, fever, and loss of appetite11.

The most common symptoms of arthritis include:

  • Pain
  • Swelling
  • Stiffness
  • Tenderness
  • Redness
  • Warmth
  • Joint deformity

Osteoarthritis may start with joint pain, stiffness, soreness, and a grating feeling when moving the joint11. Symptoms in the hands can be pain, stiffness, swelling, and loss of movement11. Knee arthritis may cause pain, swelling, stiffness, and trouble walking11.

Telling a healthcare provider about these symptoms is key to getting the right diagnosis and treatment12. It’s important to see a doctor, as arthritis can worsen and limit movement if not treated12.

“Arthritis can be a debilitating condition, but understanding the symptoms is the first step towards managing it effectively.”

Diagnosing Arthritis

Finding out what causes arthritis is key to managing it. Doctors use a detailed approach to pinpoint the cause. This includes looking at your medical history, doing a physical exam, and running tests13.

Diagnostic Tests

Several tests help diagnose arthritis. Blood tests check for rheumatoid factor and anti-CCP antibodies. These can spot certain inflammatory arthritis types like rheumatoid arthritis14. Taking a sample of fluid from a joint can also give clues about the arthritis type13.

Imaging tests are crucial for diagnosing arthritis. X-rays show cartilage loss, bone damage, and bone spurs, but might miss early signs13. CT scans, MRIs, and ultrasound offer detailed views of joints and soft tissues13. These tests help spot issues like cartilage and tendons problems13.

Diagnostic Test Purpose
Blood Tests Identify markers of inflammation and certain types of arthritis
Joint Fluid Testing Analyze the composition of joint fluid to determine the type of arthritis
X-rays Detect cartilage loss, bone damage, and bone spurs
CT Scans Provide detailed cross-sectional views of bone and soft tissues
MRIs Generate high-resolution images of cartilage, tendons, and ligaments
Ultrasound Visualize soft tissues, cartilage, and fluid-filled structures near joints

Doctors also look at your medical history and family health history. They check for autoimmune diseases, chronic conditions, or related issues15. The physical exam is key too, checking for joint swelling, redness, tenderness, and how well you can move15.

By using medical history, physical exam, and tests, doctors can make an accurate diagnosis. This helps them create a treatment plan131415.

Treatment Options

Arthritis is a complex condition, but there are many ways to manage it. The main goals are to lessen symptoms like pain and inflammation, and to improve how well joints work and overall life quality16. Treatment often includes a mix of medicines, therapies, and changes in lifestyle to meet each patient’s needs17.

Medication and Therapies

Over-the-counter or prescription pain relievers and anti-inflammatory drugs can ease the pain and swelling from arthritis17. Corticosteroid injections can also reduce swelling in joints17. For those with rheumatoid arthritis, drugs called DMARDs can slow the disease’s progress1718.

Physical and occupational therapy are key in managing arthritis. These therapies teach patients how to protect their joints, increase strength and flexibility, and adjust daily tasks17. Sometimes, surgery is needed to fix joint damage or enhance joint function, like total joint replacement17.

It’s crucial to work with a healthcare provider to create a treatment plan tailored to your needs and challenges with arthritis18.

“The key to managing arthritis is to adopt a comprehensive approach that combines medications, therapies, and lifestyle modifications to address the unique needs of each patient.”

Looking into different treatment options helps people with arthritis find what works best for them. With the right mix of treatments and support, many can lead active and fulfilling lives16.

Managing arthritis Pain

Living with arthritis means dealing with ongoing pain and discomfort. While medicines help, there are other ways to ease the pain and improve life quality19.

It’s key to protect your joints. Using braces, splints, or devices can ease stress on them19. Applying heat or cold to sore spots can also bring relief19. Doing low-impact exercises like walking or swimming can strengthen your muscles and improve flexibility, which helps lessen pain19.

Keeping a healthy weight is vital, as extra pounds can strain your joints1920. Working with a healthcare provider to find the best pain relief plan is crucial for managing arthritis and staying active19.

  • Arthritis is a leading cause of pain and disability worldwide19.
  • Lifestyle changes like managing weight and quitting smoking are important for easing arthritis pain19.
  • Movement can decrease arthritis pain, improve flexibility, strengthen muscles, and boost endurance19.
  • Activities that build muscles without harming joints are good for arthritis patients19.
  • Avoid high-impact and repetitive exercises like running or tennis19.
  • Over-the-counter pain medicines can ease arthritis pain caused by activities19.
  • Avoid using too many pain relievers19.
  • Therapies like acupuncture and massage can help manage arthritis pain19.
  • Smoking and a negative attitude can make arthritis pain worse19.

Every pound lost can lessen joint pain, especially in activities that put more strain on knees and hips20.

arthritis pain management

“Movement is life when you have arthritis. The more you move, the more you can move.”

– Unknown

By using a mix of medication, joint protection, heat and cold therapy, and low-impact exercises, people with arthritis can manage their pain and stay active192120.

Exercise and Weight Management

Staying Active with Arthritis

For people with arthritis, staying active is key. Regular exercise can lessen joint pain, boost energy, and improve overall health22. Doing exercises that move your joints helps with stiffness and makes them more flexible22. Strengthening exercises build muscles that support your joints22. Activities like walking or swimming are great for your heart and lungs and help with arthritis22.

Adults with arthritis should try to get 150 minutes of moderate exercise each week22. Simple things like walking your dog or doing yoga can also help manage arthritis22. Low-impact exercises like water aerobics are easy on your joints22. Remember to use heat before exercising and ice after to ease pain22.

For more help, there are exercise programs for arthritis at hospitals, clinics, and places like the Arthritis Foundation22. These programs offer tailored advice and support to keep you moving and manage your arthritis well.

Keeping a healthy weight is also important for people with arthritis23. Being overweight can strain your joints, especially your knees, hips, and spine24. Losing a bit of weight can ease the load on your joints and help you feel better24.

To stay at a healthy weight, eat a balanced diet with lots of fruits, veggies, whole grains, and lean meats23. Planning your meals and making healthy choices can help you manage your weight over time23. The Let’s Move program has resources to help you add more activity to your day23.

By exercising and managing your weight, with your doctor’s help, you can stay active, lessen your symptoms, and live a better life.

“Regular physical activity can help reduce joint pain, increase energy levels, and enhance overall well-being for individuals living with arthritis.”

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Surgical Interventions

In some cases, arthritis surgery may be needed to treat severe arthritis or joint damage. Synovectomy, which removes the damaged joint lining, can help reduce pain and swelling. Joint replacement surgery replaces the damaged joint with an artificial one, often made of materials like stainless steel, plastic, and ceramic. This is a good option for those with severely damaged or worn-out joints, especially in the knees and hips. Spinal surgery can also be done to treat arthritis in the neck or lower back, easing pain and preventing nerve or blood vessel damage25.

Experts say there are over 100 types of arthritis that can affect joints, tissues, and other parts of the body26. Arthroscopy is often used to treat arthritis in various joints. Osteotomy can stop joint damage and delay the need for joint replacement for 10-15 years26.

  • Arthrodesis or fusion surgery is suggested for severe joint damage from osteoarthritis or inflammatory arthritis to achieve lasting results, sometimes needing revisions27.
  • Total joint replacement (TJR) is a common choice for those with severe pain, thanks to better implant durability, making it more suitable for younger people27.
  • Minimally invasive TJR is best for active, normal-weight people under 50, offering less pain, a shorter hospital stay, and faster recovery than traditional methods27.

At Hospital for Special Surgery, a team of orthopedic surgeons, rheumatologists, and others work together to help patients with inflammatory arthritis who need surgery25. Surgery is chosen based on factors like age, expected results, pain relief, preserving function, and the procedure’s durability25.

Surgical Procedure Indications Outcomes
Synovectomy Inflammatory arthritis with limited cartilage damage Temporarily relieves pain and improves function, but synovium can grow back over time
Joint Replacement Severe joint pain, damaged or worn-out joints Reduces pain, improves range of motion, and enhances quality of life; implants can last 15-20 years
Arthrodesis/Fusion Severe joint damage from osteoarthritis or inflammatory arthritis Achieves lifelong results, often requiring revisions

Surgical success depends on the patient’s health, following physical therapy, and the surgeon’s skills. Advances in treatments and techniques have made surgeries more effective for those with arthritis25. For those with juvenile inflammatory arthritis, custom-made prostheses might be needed due to disease-caused deformities. Engineers in the Department of Biomechanics help design these specialized implants25.

“Surgical procedures can be an effective option to improve joint function and quality of life for individuals with advanced arthritis, but they are typically a last resort.”

Arthritis and Weather

Many people with arthritis say their symptoms get worse in certain weather, like high humidity or cold28. Knowing how weather affects arthritis can help manage symptoms and reduce flare-ups.

Cold and damp weather can make joints stiff and worsen arthritis symptoms28. Changes in air pressure might also affect pain, as studies link it to humidity, air pressure, and wind speed28. Being less active in rainy or winter months can also make stiffness and pain worse28.

The exact effect of weather on arthritis is still being studied28. Some research links low temperatures to more joint pain28. Others say warmer weather can cause flare-ups, especially in gout and lupus28. Seasonal changes can also affect gout and rheumatoid arthritis symptoms28.

Not all studies agree on the link between weather and arthritis29. Some don’t find a clear connection between temperature, humidity, or pressure and joint pain29. This suggests the relationship might be complex, influenced by activity, mood, and health conditions.

Many with arthritis find relief in warmer, drier places like Texas, Arizona, Nevada, and Eastern Sierra, California28. Talking with a healthcare provider about managing symptoms based on the weather can help create a personalized plan28.

“Understanding the impact of weather on arthritis symptoms can empower patients to take proactive steps to manage their condition and improve their quality of life.”

The link between arthritis and weather is complex and still being researched282930. Even though we don’t fully understand it, managing weather-related flare-ups is an important part of treating arthritis.

Living with arthritis

Living with arthritis can be tough, but there are ways to make it easier. With the right strategies, people can handle their condition well and keep a good quality of life31. OA is the most common arthritis type and mainly affects older adults31. There are many techniques and devices that can lessen joint pain and stiffness31.

Protecting Your Joints

Protecting your joints is key when you have arthritis. Using braces or other devices can ease stress on your joints and stop further harm31. Also, keeping good posture and how you stand, sit, and lie down can lessen joint pain32.

Managing Pain and Stress

Arthritis can affect your feelings, leading to stress, depression, and anxiety. Relaxation methods like meditation can help control pain and stress32. Getting support from friends, family, or groups can also help with the emotional side of arthritis32.

Adapting Your Lifestyle

Keeping a healthy lifestyle, eating well, and exercising, can help manage arthritis symptoms and stop joint damage3133. Balancing rest and activity, organizing your space, and using devices can make daily tasks easier32.

By using a full approach to manage arthritis, people can adapt and do well with this condition32. With the right strategies and support, those with arthritis can live a fulfilling and active life33.

arthritis coping mechanisms

“Arthritis affects almost all individuals living with it in some way, impacting everyday activities, jobs, financial resources, and relationships with family and friends.”32

Coping Strategy Benefits
Using Assistive Devices Reduces stress on affected joints and prevents further damage31
Practicing Relaxation Techniques Helps manage pain and reduce stress32
Maintaining a Healthy Lifestyle Helps manage symptoms and prevent further joint damage3133
Seeking Emotional Support Beneficial for coping with physical and emotional impacts of arthritis32

313233

Prevention and Early Intervention

Some risk factors for arthritis, like age and genetics, are out of our control. Yet, we can take steps to prevent or delay arthritis34. Keeping a healthy weight and doing regular low-impact exercises can ease the stress on joints. This helps prevent or slow down osteoarthritis34.

Losing just 1 pound can take 4 pounds off the knees for people with knee OA34. Losing 10% to 20% of your body weight can make you feel better, improve your life quality, and help you move better than losing 5%34.

Using braces, splints, or other devices can protect your joints and prevent more damage35. Getting diagnosed and treated early for arthritis is key. It helps manage symptoms, slow the disease, and keep joints working well35. The European League Against Rheumatism (EULAR) says to see a rheumatologist within six weeks of noticing symptoms. Start early treatment for chronic arthritis within three months of symptoms35.

By focusing on risk factors we can change and getting medical help early, we can prevent or manage arthritis. This keeps us healthy and well36. Early treatment for rheumatoid arthritis can stop joint damage. Now, there are more treatment options that could lead to better outcomes and even remission36.

Regular exercise, eating an anti-inflammatory diet, and quitting smoking are ways to prevent or manage arthritis3536. By being proactive and working with doctors, we can control our joint health. This reduces the effect of arthritis on our daily lives35.

“Early diagnosis and treatment are crucial for managing arthritis and preventing long-term joint damage.”

Arthritis Research and Advancements

Arthritis research is always moving forward, with scientists working hard to find new treatments. Arthritis research is a big focus for groups like the Arthritis Foundation. They give a lot of money to different projects to understand arthritis and find better ways to manage it.

New medicines and therapies are being developed to help people with arthritis. Researchers are looking at many new ways to slow down the disease and ease symptoms. The Arthritis Foundation has given $12 million to study osteoarthritis and the same amount to study juvenile arthritis. They also gave $3 million to help develop the next generation of arthritis doctors37.

Improving joint replacement technology is another big area of research. Researchers have made big steps in making artificial joints that last longer. Thanks to the NIH, three new medicines for rheumatoid arthritis have been approved, making life better for many patients38.

Personalized medicine is also a big part of arthritis research now. By understanding what makes different types of arthritis unique, doctors can make treatment plans that work better for each person39. This could lead to better treatments and outcomes for people with arthritis.

As research goes on, people with arthritis can look forward to new ways to manage their condition. Recent research has shown promising results. The future of arthritis treatment looks very promising.

“The Arthritis Foundation emphasizes workforce development to address the shortage of rheumatologists specializing in arthritis treatment.”37

Research Area Key Findings
Osteoarthritis
  • A specific pattern of molecules can predict rapid disease progression39
  • Recommendations for clinicians to optimize knee health after injury39
Rheumatoid Arthritis
  • Molecular patterns can predict treatment response and long-term outcomes39
  • Blocking an immune signal reduced arthritis severity in mice39
Juvenile Arthritis
  • Medication prescription patterns follow complex trial-and-error paths39
  • Nearly half of patients do not know their specific arthritis type39

The Arthritis Foundation is key in pushing arthritis research forward. They work with groups like CARRA and FNIH Biomarkers Consortium to fund research37. They also focus on training more doctors to treat arthritis, which is very important.

Arthritis research is getting better all the time. With new medicines, therapies, and technology, people with arthritis have hope for better treatments. The Arthritis Foundation’s work shows their commitment to helping people with arthritis.

Conclusion

Arthritis is a complex condition that affects millions globally. There is no single solution, but early diagnosis and a full treatment plan can help manage symptoms and keep joints working well40. It’s important to know about the different types of arthritis, their causes, and treatment options to take charge of your health4142.

Using strategies like medicine, physical therapy, protecting joints, exercising, and managing weight can help reduce pain and improve movement40. As research goes on, we might find even better ways to fight, manage, and maybe even reverse arthritis’s effects.

This article highlights the importance of catching arthritis early and treating it fully. It shows the need for a wide-ranging approach to lessen symptoms. By staying informed and proactive, people with arthritis can lessen the disease’s effects and keep their independence and well-being.

FAQ

What is arthritis?

Arthritis is a term for over 100 diseases. It means “joint inflammation.” This includes swelling, pain, and stiffness as the body reacts to disease or injury.

What are the common types of arthritis?

Common types include osteoarthritis, rheumatoid arthritis, and gout. It can affect anyone, but it’s more common with age.

What are the symptoms of arthritis?

Symptoms can vary and may include pain, swelling, stiffness, and tenderness. You might also notice redness, warmth, and joint deformity.

What causes arthritis?

The exact cause is often unknown. Researchers look at genetics, heredity, and lifestyle. Risk factors include age, sex, weight, past injuries, and certain jobs.

How is arthritis diagnosed?

Diagnosis involves a medical history, physical exam, and tests like imaging and joint fluid analysis. These help identify the type and severity of arthritis.

What are the treatment options for arthritis?

Treatment aims to reduce symptoms and improve joint function. Options include medications, therapies, and lifestyle changes. This can include pain relievers, injections, physical therapy, and occupational therapy.

How can arthritis pain be managed?

Managing pain involves medications and strategies like protecting joints, using heat or cold, exercising, and keeping a healthy weight.

What is the role of exercise and weight management in managing arthritis?

Exercise strengthens muscles, improves flexibility, and reduces pain. Keeping a healthy weight also helps by reducing joint stress.

When is surgery considered for arthritis?

Surgery, like joint replacement, may be needed for severe arthritis or damage when other treatments fail.

How does the weather affect arthritis symptoms?

Weather changes, like humidity or cold, can worsen arthritis symptoms. The exact reasons are unclear but may include changes in barometric pressure and less activity.

What strategies can help individuals cope with living with arthritis?

Strategies include joint protection, relaxation, emotional support, and a healthy lifestyle. These can help manage arthritis and improve quality of life.

What can be done to prevent or delay the onset of arthritis?

Preventing arthritis involves maintaining a healthy weight, exercising regularly, and seeking early treatment. These steps can delay or prevent arthritis onset.

What advancements are being made in arthritis research and treatment?

Research focuses on new medications, therapies, and joint replacement technology. Personalized medicine is also advancing to offer more targeted care.

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